Professional Commitment and Its Associated Factors Among Institutional Delivery Services Providers in Public Health Facilities, Shone District, Southern Ethiopia

Abstract

Although health professional in public health facilities are often absent during working hours and these complaints are acknowledged by health workers commitments. These may affect quality maternal health services, to reduce maternal and neonatal mortality. Institutional delivery services (IDS) utilization coverage is increasing globally including Africa, but the progress is very slow. In SNNPR IDS utilization is about 10%, which is lower than the national levels (16%).Nevertheless, there is paucity of information on level of commitment among health professionals attending delivery service in public health facilities of low income countries like Ethiopia. Objective: To assess the level and factors associated with professional commitment among institutional delivery services provider in public health facilities of, Shone District, Southern Ethiopia. Methods: A facility-based cross-sectional study design was conducted in Shone District, South Ethiopia. Simple random sampling was applied for the selection of study participants in proportion to professionals in each public health facilities.Self-administered Likert scale type of questionnaire was used. Data were analyzed using SPSS version 20.The mean of commitment calculated as percentage of maximum scale score was used. Bivariate and multivariate logistic regression analyses were done to see the independent factor explanatory variables. Results: - The magnitude of professional commitment for health professionals working in government health facilities of Shone district was 69.4%. The perceived type of health facilities in the health center was 66.3%.This study found that committed to their profession and believing that the end (outcome), perceived working environment and team approach was well organized with associated factors. Conclusion: The professional commitment among institutional delivery service provision was medium. All health professional and should manage their own personal characteristics to behave in good way to be committed for their profession.Organizational commitment had great influence on professional commitment. Keywords: Health professionals, Commitment, Institutional delivery service